Healthcare Provider Details
I. General information
NPI: 1831073287
Provider Name (Legal Business Name): DHPT PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/31/2025
Last Update Date: 10/31/2025
Certification Date: 10/31/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
210 S PRESTON RD STE 30
PROSPER TX
75078-3070
US
IV. Provider business mailing address
1605 BYRN DR
ALLEN TX
75013-5377
US
V. Phone/Fax
- Phone: 972-408-4400
- Fax:
- Phone: 972-408-4400
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RM1200X |
| Taxonomy | Magnetic Resonance Imaging (MRI) Internal Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
SUDHIR
S
RAO
Title or Position: MANAGER
Credential:
Phone: 972-408-4400